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Suggest Medication For Severe Anxiety And Depression

Posted on Mon, 11 Jan 2016

Question: I suffer from an anxiety/depression disorder. After several years of psycological work it has been determined to be a chemical imbalance. My symptoms are very similar thyroid conditions yet all my blood tests come back negative. This case has me experiance tons of anti-depresants as well as seroquil and clonazepan. I am getting no where but symptoms are getting really hard to deal with. I am collecting disability due to this affliction. Any advice would be great.

Answered by Dr. Alexander H. Sheppe (1 hour later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

If you labs tests are negative, this means you probably have depression and, I'm guessing from the Klonopin, issues with anxiety as well. The standard treatment for depression and anxiety both is a combination of medication and therapy. There are nearly two dozen antidepressant medications, so I'd need to know what you have taken. Have you taken an MAOi such as Nardil or Parnate? TCAs such as amitriptyline or nortriptyline? Atypicals such as Remeron and Wellbutrin? Have you tried ECT (shock therapy)? If you provide a medication history I can make a suggestion. For therapy, have you tried CBT or DBT therapies? Dynamic therapy? Let me know at my private link:

tinyurl.com/DrSheppeAnswers

or

https://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70684

Because this situation is very complicated, I encourage you to contact me again at my private link below, because we receive nearly double the payment from this website for direct questions. After asking a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Alexander H. Sheppe (1 hour later)

I am ready to be taken care of the Hospital but can't make them understand how my symptons are so bad. If I go to the ER they will probably inject ativan. It has worked in the past but seems to be of little of no help. All my meds just seem to be a waste of time. Am considering a 911 call as I feel so bad. Anxiety is really ruining my life. I know it won't kill me but feel terrible. Are there any suggestions that you might have to let the ER doctor that this is a physical ailment and am suffering very bad symptoms.

Answered by Dr. Alexander H. Sheppe (8 minutes later)

Brief Answer:
Followup

Detailed Answer:
If you feel bad enough, you should certainly visit the ER. However, anxiety is usually not considered an emergency. A psychiatric emergency is when someone feels suicidal, homicidal, or unable to safely take care of themselves at home. The short-term treatment for anxiety is benzodiazepines such as Ativan, but the long-term treatment is an antidepressant plus therapy as I discussed. Please give me a medication history and we can discuss your medication options further at my private link:

tinyurl.com/DrSheppeAnswers

or

https://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70684

Because this situation is very complicated, I encourage you to contact me again at my private link below, because we receive nearly double the payment from this website for direct questions. After asking a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T